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.p^'{.'L7Ea1f7n7Q City <br /> Fax L9 S-TRn_NM1 <br /> . Fax-© wF CnlirKn <br /> Ba6ding Department <br /> 7 � <br /> Date Received P-trnaeContact"foF-Permitting- 9r3 ^-�� <br /> Owner's Name Owner Phone Number <br /> arrnor'o Address Owner phone Number <br /> Fee Simple Titleholder Name 1 Owner Phone Number <br /> Fee Simple Titleholder AddrespA <br /> JOB ADDRESS L(TO <br /> SUBDIVISION PARCEL IOft <br /> lD9TAlAGDFROb pROt eR7YTA1(NDTICL� <br /> WORK PROPOSED NEW CONSTRB ADDIALT Q SIGN Q r] DEMOLISH <br /> El INSTALL REPAIR <br /> PROPOSED USE Q SFR M COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK �C. _ <br /> BUILDING-SIZE �'80 FOOTAGE- HMGHT• " <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ($ �� AMP SERVICE p PROGRESSENERGY Q W.R.E.C. <br /> PLUMBING $�s.� a C 19 111 l/` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY®- OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE GUt M I Y I N <br /> Address -— --------- _�__ l License A <br /> ELECTRICIAN COMPANY <br /> SIGNATURE tiEGt51ERED ".N' " FEECURZIcR YY N' <br /> Address License <br /> PLUMBER r� COMPANY JwP _r,-,`�C r�P+ <br /> SIGNATURE REGISTERED FEE CURRell <br /> Addrioas: a F` U—noo p <br /> RIECHANICAL COMPANY <br /> SIGNATURE RrEGISTERED I Y/N FEECURR`�h YlN 1 <br /> Address (� L(Cense of{ <br /> OTHER I COMPANY <br /> SIGNATURE I REGISTERED I Y/ i F6E CURRM I YIN <br /> Address Ucen3e1; <br /> rea"rrirrerrrrrrreerlrrreilarrrararrrrrrrrrrararerrrrrraraarrraarrrr <br /> 1PES18ENT1AL Attarh(2)Pint Plane•0"..of Rr/ildinn Pbuts:(1)c._l or Energy Fortes:R_O_Nl/P,!rmlt for nzlv+snsfrurUnn, <br /> Minimum ten(10)wcncing days after submittal date. Required onsite,Construction Plans,Stormwater Plans 1v/Silt Fence ins <br /> tei!ed. <br /> Sanitary Facilities a 1 dumpster:Site Work Permit for subdivisions/targe projects <br /> -COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Sbfoty Page:(1)set of Energy Forms.R-0•W.Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Concbvotion Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitefy Fadlifts&A-dompster.S0?tlldrd Pecmit F6r sll'new proms.All commerrlel iequtd mI nts must meet comg=09 <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> -� <br /> Directions: <br /> Fill out application completely. <br /> Owner E Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commoncemont is roquirod, (AIC upgradoe over$7600) <br /> Aacnt(ftr fix :r f..=of 'fc;r-pY'ft r I",e''...^r) t:'mh re anzsd ownzr aiA"o;,�rr.C:u <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC 'Fences(Plot/SurveylFootage) <br /> Dive Yays-Atot.over CounteNf on public rezdways:.needs ROW- <br />